This is most likely due to chronic tonsillitis which is mostly viral. Though a throat swab should be undertaken to rule out bacterial infection. A concomitant allergic inflammation is a possibility involving throat (pharyngitis) and tonsil. Warm salt water gargles (thrice a day), over the counter multivitamins and vitamin C are likely to help.
Following also should be considered for your symptoms;
1) Epstein Barr virus (EBV)-associated mononucleosis
2) Parapharyngeal space infections,
3) Peritonsillar abscess ("quinsy"), and
Quick swab for streptococcus may sometimes not able to identify the bacterial organisms so a visit to an ENT specialist and following investigations, should be done;
1) Throat cultures have been the "gold standard" for diagnosing GAS (group A streptococcus) pharyngitis and another pathogen, such as N. gonorrhoeae.
2) Blood counts
3) EBV virus antibodies
4) Indirect laryngoscopy (ENT specialist see the inside of the throat by a mirror).
If the throat culture is positive and counts show the infection, injectable antibiotics would be needed. Antibiotics of choice are;
1) Penicillin G plus metronidazole
Please feel free for your follow up questions.
I would be happy to assist you further, if you need any more information.
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